Web and Mobile-Based Platform that Unites Workflow Management and Asynchronous Video Collaboration for Healthcare

ABSTRACT

The disclosure describes an on-demand web-based software and hardware platform that has been developed, on a custom hardware (server) architecture, in an abstracted fashion to enable the administrative users (admins) to create and deploy their experience that can manage asynchronous communication and decision-oriented workflows, in a secure fashion, within a healthcare system. The experience created by the admin can be used for almost any use-case (within care delivery, care coordination and care management) where asynchronous and decision-based workflows and video-centric asynchronous communication proves to derive value resulting in increased productivity, reduction in cost, improved revenue production. Additionally, from an asynchronous communication perspective, the platform empowers the delivery of “capture, store and forward” video-based one-way, two-way and multi-way user interactivity. And, the admin can use the platform&#39;s tool sets to create membership models, product types, page designs and media/content libraries that surround the overall experience being delivered for patients and providers.

CROSS-REFERENCE TO RELATED APPLICATIONS

The present application is a continuation of U.S. Nonprovisionalapplication Ser. No. 16/393,520, filed Apr. 24, 2019, which is acontinuation of U.S. Nonprovisional application Ser. No. 14/484,912,filed Sep. 12, 2014, which claims the benefit of U.S. ProvisionalApplication No. 61/878,121, filed Sep. 16, 2013, all of which areincorporated by reference.

BACKGROUND

Software as a service (SaaS) services comprise software delivery methodsthat provide access to the software and the functionality remotely andis centrally hosted. SaaS software and functionality are typicallyprovided through Web-based services (e.g., accessible through a webbrowser through the Internet).

SUMMARY

Web/mobile and video technologies have been developed to allow forinteractive functionality. Workflow management systems are prevalent inthe enterprise setting to handle very specific areas, e.g., salesprocess, billing cycles, task management, medical record input, etc.integrated video-camera devices and streaming video technologies enablethe recording and viewing of video derived from server technology.Server virtualization technologies aggregated into “cloud services”enable the delivery of web and mobile software via various subscriptionmodels and in an on-demand fashion for the client or enterpriseorganization. Content management systems empower users to create, edit,design and deploy their content experiences. E-commerce and paymentgateway technologies have effectively enabled the processing of creditcards via web and mobile devices. Reporting tools exist to querydatabases to devise reports and analytics.

The present disclosure combines and goes beyond these overall conceptsand technologies. This disclosure's tools set (sometimes referred to asplatform) enables the conceptualization, creation, adaptability,management and deployment of an admin-directed video-based,asynchronous, decision-based workflow and collaboration experience thatspans across an entire healthcare system to address many differentuse-cases. The platform enables the admin to conceptualize an experiencehe or she wishes to deliver utilizing its tool set and then configure itaccordingly.

The present disclosure provides, among other things, asynchronousworkflow management, e-commerce tool sets, asynchronous video-basedcollaboration capabilities, and content management. More specifically,the disclosure manages, among other things, video-based, asynchronouscollaboration and interactivity within decision-based workflows in aremote healthcare setting, such as, for example, pre-operative educationand surgical coordination, post-operative follow-up and rehab, hospitalreadmission reduction, chronic disease management, home care managementand internal staff training and education. In an example aspect of thepresent disclosure, the admin can create and deploy one or more of theseuse-cases within their health system. The system can be built anddesigned to be use-case agnostic, thus enabling its underlyingexperience to be self-created and adapted by the admin. This is why thepresent disclosure is called a platform, as it allows the admin to (a)use it to adapt to their organization's workflow and protocols(use-case), and (b) not require development or programming skills tocreate their desired experience.

The tool set includes many different features and functionalities;however, they revolve around the ability to create decision-orientedinteractive and collaborative workflows that engage one or more users(e.g., providers, office staff, caretakers, patients, nurses, etc.)across the health system. This two-way and/or multi-way method ofcollaboration and interactivity is delivered asynchronously and itsprocess is managed by the platform's queue item management system or“Task System.” The present disclosure provides a new paradigm forasynchronous video-based workflow and collaboration across one or manyusers within the health system.

The present disclosure empowers many capabilities, such as for example:the delivery of pre-determined automated and/or progressive workflowscombined with video recording and viewing tools, which aresystematically managed by a unique user and group task system, enablingefficiency of the asynchronous flow of data. Or another example, tofurther the admin-directed experience, the present disclosure integratescomplementary web or mobile third-party software technologies. Here arejust a few integrated technologies examples: electronic medical recordsoftware, practice management systems, billing systems, wirelesshardware devices for tracking biometrics, interactive video tools andsynchronous video technologies.

The present disclosure can be delivered and reside on a privately ownedand fully customized HIPAA-compliant, virtualized server architecture,which is configured to enable a Platform-as-a-Service (PaaS) serverenvironment, also known as the disclosure's “private cloud.” The PaaSsolution stack enables the development of HIPAA-compliant web and mobileapplications, whereas these applications' intention is to integrate intothe present disclosure's application programming interface (API).

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 . is a block diagram showing an example embodiment of thisdisclosure of a platform information flow, showing an example of howdata is derived and flows through the platform.

FIG. 2 . is a block diagram showing an example embodiment of thisdisclosure of a user experience inside the platform, showing an exampleof how the user manipulates and can flow through the platform.

FIG. 3 . is a block diagram showing an example embodiment of thisdisclosure of a content management system, showing an example of theplatform's content and media posting capabilities.

FIG. 4 . is a block diagram showing an example embodiment of thisdisclosure of the form builder, showing an example of enabling the adminto conceptualize, build and make accessible forms combined by actionsthat create workflows for users within the platform to complete. Theform builder enables the platform's asynchronous collaborationcapabilities when combined with all aspects depicted in the figures.

FIG. 5 . is a block diagram showing an example embodiment of thisdisclosure of fields, showing how to enable a form to be interactive.

FIG. 6 . is a block diagram showing an example embodiment of thisdisclosure of actions, showing how to provide the form-based triggersthat can fire upon submitting a form. Additionally, actions enableif/then statements, conditional statements and time-based triggers to anaction.

FIG. 7 . is a block diagram showing an example embodiment of queues,showing how to manage asynchronous collaboration, as tasks aresystematically managed and aggregated for processing by one or moreusers.

FIG. 8 . is a block diagram of an example embodiment of a side-by-sidevideo recorder, which enables users to capture visual data (record),while following along with a model in a playing video, whether itsconducted simultaneously or sequentially.

FIG. 9 . is a block diagram of an example embodiment of the platform'scustom system architecture depicting how all the components andcapabilities (above FIG. 1 -FIG. 8 and related description) areconnected and processed.

FIG. 10 . shows an exemplary computer-readable medium that may bedevised to implement embodiments of one or more of the disclosurespresented herein.

FIG. 11 . shows an exemplary system or computing environment toimplement embodiments of one or more of the disclosures presentedherein.

FIG. 12 . is a block diagram that depicts the web and mobilepicture-in-picture video mirroring recorder, enabling a user to followalong with a pre-recorded video while recording him or herselfsimultaneously.

FIG. 13 . depicts an HTML-5 video player that enables the user tomanipulate the video by drawing an arbitrary angle, while automaticallycapturing and redirecting the resultant angle data to a field within theplatform of another third party API integration.

FIG. 14 . is a diagram of the migrator, which enables a user (withpermission) to copy any set of forms, workflows (pathways) from oneplatform to another platform. Additionally, the diagram depicts thepathway application community where platform owners can browse, accessand optionally purchases a pathway from another platform owner.

FIG. 15 . is a flow diagram illustrating an example method forperforming asynchronous communication in accordance with an exampleimplementation of the present disclosure.

DETAILED DESCRIPTION

With the Internet's software movement and advancement towardPlatform-as-a-Service (PaaS) and Software-as-a-Service (SaaS),enterprise organizations are utilizing these on-demand softwareapplications to improve and enhance their end-users' experience,productivity, revenue production and cost reduction. Healthcare is nodifferent. With major policy changes in healthcare (i.e., the AffordableCare Act), preventative-care, patient engagement, care coordination andtelehealth technologies need to become more accessible, interoperable,consolidated for the Health System or Healthcare Organization. As theAffordable Care Act currently takes effect across the United States,more patients require additional care, and there are not enoughhealthcare providers to manage the care of the current population, letalone an influx of new patients. To accomplish this feat in the mannerthat the Affordable Care Act was written (i.e., increase patientengagement, access to care, education and quality of care), it'sinnovative technology that can and will make this possible across largepopulations of patients.

The workflow management and asynchronous video collaboration platformdescribed herein is making its impact with these efforts. Providers(doctors, physician assistants, nurses and care coordinators) have fixedtime in the day to see a finite number of patients.

The asynchronous video collaboration workflow engine described hereinenables two different types of use-cases: substitutional andsupplemental. Within a substitutional use-case, the asynchronous videocollaboration workflow engine replaces the need for uneventful follow-upvisits, and from the patients' perspective, the patients are freed fromthe hassle and expense of missing work and wasting hours of time for avery brief uneventful in-person visit. A patient is directed when andinstructed how to record a video follow-up visit from anywhere and onany device. After the patient completes his/her follow-up task, it issubmitted (stored and forwarded) to the appropriate provider, such asfor example a specialist, physician assistant, primary care physician(PCP), or physical therapist (PT) for review and response. Sinceapproximately half of providers' workdays are devoted to follow-upvisits and the wide majority of those visits are uneventful andnon-reimbursable, healthcare organizations and providers have asignificant opportunity to improve efficiency, optimize time and drivenew revenues. To drive revenue opportunities, providers free up slots intheir schedules for new patients, which convert to new surgeries andother billable procedures. With the asynchronous video collaborationworkflow engine described herein, unnecessary in-person follow-up visitswith the provider go from about 15 minutes or more to remote recordedvisits taking less than about 3 minutes to complete and respond to thepatient. Since the interaction is conducted in an asynchronous setting,providers review and respond with pre-recorded or real-time recordedvideo messages. Some other use-case examples include post-operativefollow-up and care management follow-up.

Within a supplemental use-case, the workflow engine enables providers,such as for example care coordinators, care managers, and physicaltherapists to automate the delivery of programs, such as for exampleinteractive care/rehab management protocols. Providers stay informedwith the patient's program. At desired intervals throughout the courseof the program, the appropriate providers personally communicate withthe patient and one another via interactive, store-forward video toprovide on-going treatment, encouragement, positive reinforcement andeducation. Additionally, the platform's content management systemenables providers to create a robust, organized and tailored hub ofeducational/resource content. Provider teams will be able to collaborateto drive better outcomes, improve efficiency of care, and tracksystem-wide success metrics. Through customizable risk assessment forms,providers can automatically enroll patients into automated diseasemanagement programs that employ and coordinate appropriate care teammembers based on desired outcomes for that specific patient. Providersengage more patients within their existing time constraints, andinteract with them more frequently, while more effectively managing thehighest priority patients. Through the automation capabilities describedherein, one provider may yield the productivity of about three or moreof their peers that are not using the workflow engine described hereinwithin the same timeframe, thus significantly scaling management of thepatient population. Some supplemental use-case examples include chronicdisease management, physical therapy, and wellness.

Additionally, with the platform described herein, it goes beyond simplypatient/provider interaction, but also extends into internal/externalcoordination within the health system. It increases efficiencies andaccountability across the organization as it relates to providers,patients, administrators, nurses, etc., by streamlining workflows andautomating and tracking them for all parties involved. Now, major issueslike post-operative follow-up, rehabilitation, surgical coordination,chronic disease management and hospital readmissions can all beaddressed under one adaptable platform, utilizing the same userexperience no matter what use-case the health system uses the platform.

Reference will now be made in detail to several embodiments of thedisclosure that are illustrated in the accompanying drawings. Whereverpossible, same or similar reference numerals are used in the drawingsand the description to refer to the same or like parts or steps. Thedrawings are in simplified form and are not to precise scale. Forpurposes of convenience and clarity only, directional terms, such astop, bottom, up, down, over, above, and below may be used with respectto the drawings. These and similar directional terms should not beconstrued to limit the scope of the disclosure in any manner.

An example embodiment of the platform's information flow is illustratedin FIG. 1 . Users [100] can enter the environment [101] through a numberof different ways [106, 107, 114, 117]. In the simplest way, the user[100] has an account created for them by a sufficiently privileged admin[116] (e.g., an administrator), which is a role, derived frompermissions [113], that is assigned to a user [100]. Admins [116]receive this permission through the platform's permission system [113].The admin can choose to give the user [100] a role, which classifies theuser [100] and assigns an administrator-defined set of permissions[113]. In this way, users [100] can become one or more pre-determinedroles, e.g., doctors, nurses, administrators, contributors, etc. User[100] entry can also be self-driven via a signup [117]. Users [100] caneither create their own account (if the environment is configured toallow such behavior), or they can purchase membership (a role) to theenvironment [106] or they can be invited [114] by another user withpermission to do so. The commerce system [106] allows for one-time, aswell as interval-based billing, meaning that roles can be sold, andvarious levels of permissions [113] can be sold as well.

Content [102] within the environment can be broken down into twooverarching categories—pages [108] and forms [109]. Pages [108] arecreated and designed with the platform's page builder (discussed in FIG.3 ) and represents both static and dynamic information. Forms [109] arebuilt with the platform's form builder (illustrated in and discussedwith respect to, for example, FIG. 4 ) and are used to gather data [110]from the user. Forms [109] can optionally have their captured data [110]designed with the form data designer (illustrated in and discussed withrespect to, for example, FIG. 3 ), enabling the system to act as aself-generating content management system (illustrated in and discussedwith respect to, for example, FIG. 3 ). A sufficiently privileged user,such as an admin [116], can create a form [109] or a series of forms[109] to represent a page or pages [108] of information, and then canuse the form data designer (illustrated in and discussed with respectto, for example, FIG. 3 ) to design the output of that form [109]. In animplementation of the present disclosure, a difference between a page[108] and a form [109] is that forms [109] gather information from users[100], whereas pages [108] are passive, existing to present information,never gathering it, as well as can be for public use outside theplatform [118].

Forms [109] are filled out, using fields (illustrated in and discussedwith respect to, for example, FIG. 5 ) that were placed into a formduring the form builder process (illustrated in and discussed withrespect to, for example, FIG. 4 ), and submitted by users [100]. Theresultant data [110] is captured, logged, stored and routed by theplatform's underlying server architecture (illustrated in and discussedwith respect to, for example, FIG. 9 ). Depending on the context oruse-case (illustrated in and discussed with respect to, for example,FIG. 2 ), data [110] can be used in various ways throughout the systemto enable collaboration and communication between multiple users [100].Data [110] is most useful when it is organized in a human-readableformat (top to bottom and utilizing, but not limited to, text, pictures,videos and file attachments). Videos are enabled by the platform'sability to capture data [110] in visual format using various videorecording fields (illustrated in and discussed with respect to, forexample, FIG. 5 and FIG. 8 ).

The organization point [104] is utilized to structure data within theplatform. Cases [111] are utilized to organize captured data [110]relating to a user [100]. The cases [111] have an owner—the user [100]that the case [111] is ultimately related to. Data [110] can be sent viaactions (illustrated in and discussed with respect to, for example, FIG.6 ) to a user's [100] case [111], though the data [110] does not have tooriginate from the user that owns the case [111]. In this way, ahealthcare provider can update a patient's case [111] without being theowner of it. Cases [111] are therefore used to group data [110] fromvarious different sources in a way that makes sense given the context oruse-case (e.g., a post-operative follow-up program, illustrated in anddiscussed with respect to, for example, FIG. 2 ). Within the platform'sserver architecture (illustrated in and discussed with respect to, forexample, FIG. 9 ), case data [111] can be encrypted and segregatedacross servers or devices to ensure privacy and security.

The task [105] enables the asynchronous collaboration to exist.Respective users [100] and groups (illustrated in and discussed withrespect to, for example, FIG. 2 ) within the platform has his or her ownqueue [112]. Queues [112] are repositories for queue items (e.g., tasks)(illustrated in and discussed with respect to, for example, FIG. 7 ). Asthe user [100] completes these queue items (illustrated in and discussedwith respect to, for example, FIG. 7 ), they are routed via actions(illustrated in and discussed with respect to, for example, FIG. 6 ) toother users' queues [115] or launch a form [109] to the origin queue[106] or to the same user's [100] queue creating a workflow (illustratedin and discussed with respect to, for example, FIG. 2 ).

The response [106] represents the manner in which the flow of data [110]from one user's queue [112] to another can be self-perpetuating andcircular. For instance, in order to complete a queue item (illustratedin and discussed with respect to, for example, FIG. 7 ), a user may fillout a form [109]. The form [109], in this example, has actions(illustrated in and discussed with respect to, for example, FIG. 6 )associated with it that initiates a new queue item (illustrated in anddiscussed with respect to, for example, FIG. 7 ) to the related users'queue [115] or to that user [100] that just completed the queue item(illustrated in and discussed with respect to, for example, FIG. 7 ).This flow of information is configurable, and can establish the variousexperiences that can be implemented within the platform or use-cases(illustrated in and discussed with respect to, for example, FIG. 2 ). Wecall this data flow a workflow (illustrated in and discussed withrespect to, for example, FIG. 2 ). Workflows enable, for example,program automation and/or progressive automation, thus providing theability to create care and training programs that run its directedcourse; engaging the appropriate users' queues [112, 106, 115] along theway for feedback and interaction; and the appropriate reporting andtracking (illustrated in and discussed with respect to, for example,FIG. 2 ) information regarding the users involved within the workflow.

The user experience [FIG. 2 ] inside the platform depicts how usersmaneuver through the platform. User [201] is a user without a role.Roles are defined by admins [237]. Once a user without a role [201]decides to become a user with a role [238], he or she can enable this tohappen in one of four ways. Admin created [203] enables admins to createthe user's account and assign a role [231], which will give the useraccess [207] and drop them at his or her dashboard [209] where therewill be a menu [210] of items to choose from. Now user with a role [238]is considered a member. A role [231] can be purchased via the commercesystem [205], or invited by another user that already has a role [226,227, 228, 223, 237]; however, the user must have permissions [230]assigned to them by the admin [237] to send an invitation to a userwithout a role [201]. Roles [231] are used to group alike userstogether. Roles [231] can have any name, and can grant any arbitrarilydesignated set of permissions, which are defined by the admin [237].Permissions [230] are the privileges granted to a user [200].Permissions [230] are both role-based and contextual. That is,permission-sets can be granted to users with a specified role [231];however, certain permissions [230] (such as, for example, access to agiven piece of patient data [218]) can be granted in a context-specificsituation. For instance, a doctor may not be able to view all datawithin the system, but may be granted permission [230] to view anindividual patient's data [218] via a relationship [240, 241], which wasderived from the settings found within [229]. Role-based [231]permissions [229] enable server architecture (illustrated in anddiscussed with respect to, for example, FIG. 9 ) to process complianceneeds appropriately, e.g., Health Information Portability andAccountability Act (HIPAA) Compliance.

Since the user [238] has been provided a role, the user [238] cannavigate the system through, in some implementations a pre-determined,use-case [239] that may have different interactions associated with it.Other users [222, 223, 226, 227, 228, 237, etc.] can be related, viause-case [229], to the user [238], pages [213] can be accessible to theuser [238], form data displayed in lists [214] can be viewed by the user[238] (which can display libraries of media), certain reports [215] canbe viewed by the user [238] if he or she has permission [230] via role[231] to do so, and the user [238] can view his or her reminders [242]that have been derived from actions (illustrated in and discussed withrespect to, for example, FIG. 6 ). The user [238] can begin his or heruse-case [239] and is presented with his or her individual queue [211]or group queue [212], where he or she will find queue items (illustratedin and discussed with respect to, for example, FIG. 7 ) to complete. Theuser [238] views a queue item, which takes him or her to a form or setof forms [216, 217]. The user [238] completes his or her queue item,which either forms a new case [218, 219] or adds to a current case [218,219] owned by another user [226, 227, etc.] within the platform [208].Completing the queue item from [211 or 212], not only creates or adds toa case [218, 219], it also can initiate actions (illustrated in anddiscussed with respect to, for example, FIG. 6 ), that send a subsequentqueue item to other users' queues [220, 221] for that user [223] orusers [222] to access, triage and complete, therefore continuing theuse-case [239] and creating their case data [224]. Now, because admins[237] can use the various aspects of the platform's [208] mediamanagement [235] (illustrated in and discussed with respect to, forexample, FIG. 4 ) to conceptualize and derive their use-case [239],which can be decision-oriented and engage different users along the waybased on user's [238] decisions within the forms/workflows [216, 217].This navigation through a user-case [239] can be implemented, forexample, through the platform's [208] underlying server architecture,which is illustrated in and discussed with respect to, for example, FIG.9 .

Discussing the queue [211], forms/workflows [216], and cases [219] inmore detail, as discussed, forms [216] are used to capture data [218,219] from users [238]. The tree-like structure of the forms (illustratedin and discussed with respect to, for example, FIG. 4 ) allows theuse-case's [239] admin [237] to make decisions regarding a course ofaction for the user [238]. Data [218, 219] exists in many forms—fromsimple numeric or textual information, to complex data such as recordedvideo, uploaded files, or touch-based signatures. Data [218, 219] isencrypted during transmission and at-rest using encryption, for example,aes256-bit encryption, all enabled by the private server architecture[200]. Cases [218, 219] may comprise of related queue items (illustratedin and discussed with respect to, for example, FIG. 7 ) and found inrelated queues [220, 221], their resultant data (captured when forms aresubmitted), and activity logs. Cases [218, 219] are owned by anindividual user, and are unique per user and case type. Case types [233]are created by administrators [237], and allows the platform to trackand group any type of data [218, 219] within cases, from technicalsupport to disease-specific information. Within the depicted diagram,the resultant data from [218, 219] is associated with a given case.Relationship [240, 241] is the relationship of the workflow, whichdetermines the recipient queue [220, 221]. The recipient queue [220] isan individual user's queue. The associated case [219] may or may notbelong to the owner of the queue [223], depending on the configurationof the workflow by the admin [237]. For instance, the individual may bea patient's specialist. The case would be associated with the patient,though the queue item (aka task) may be assigned to the patientspecialist. The individual that owns the queue will be granted access toeither part of the case, or all data associated with the case, dependingupon the specific implementation of the workflow. The individual queue[220] organizes queue items assigned specifically to that user [223],until they are completed. Case data [218] can be assigned to a groupqueue [221], which means that a group of users [222] will have access tothe queue items associated with that queue [221]. In an implementation,a difference between an individual queue [220] and a group queue [221]is that the queue item is no longer assigned to a single user. Insteadthe queue item exists once for the entire group [222]. Any member of thegroup [222] can perform the associated queue item within the group queue[221]. This allows for flexibility in the way that workflows aredesigned and configured, as sometimes it makes sense for a queue item tobe completed by the first user within a group able to perform the queueitem, while other times tasks are best assigned to specific individualusers. Additionally, queue items can have binding actions (illustratedin and discussed with respect to, for example, FIG. 6 ), which mayrequire a set of user(s)/group(s) to complete a queue item thataggregate into a one master queue item that results in being completed.This may prove useful in settings where multiple parties may need tocomplete their task before the job is actually done, e.g., a surgicalcenter's central booking office may need to ensure a patient visit(queue item 1), the rehab center is scheduled (queue item 2), andprescriptions have been ordered (queue item 3).

Now that the explanation behind the workflow of the platform [208] hasbeen explained, we can further explain how content and workflows aregenerated by the admin [237]. Let's start with the content managementsystem [FIG. 3 ]. The form builder [301] is the key component used tobuild the specific use-case [239]. The form builder [301] allowssufficiently privileged administrators to create forms for both contentlist [214] building and directed workflow creation. In form input [314],a form is created to capture data that is displayed as content to a userwithin a use-case [239]. The administrator [237] that creates the formis free to include any type of field to hold various types of data (seemore on fields illustrated in and discussed with respect to, forexample, FIG. 5 ), such as text for the page title, body content, afeatured video, categories, tags, etc. Form data designer [302] is usedto design the visual output of the form data. The form data designer[302] allows the designing admin [237] to choose the look and feel ofthe data [308] collected by the form [314]. This allows the admin [237]to create one design that can be populated with a variety ofinformation, such as the layout of a video resource page. The pagebuilder [303] is used to create a static page [311, 312, 313]. A staticpage [311, 312, 313] is not populated with content from form data,instead it is a stand-alone page created and edited directly on-screen.This is best used for informational or marketing-based pages, and allowsfor the rapid creation of content with minimal technical expertise.Menus [304] can consist of primary, secondary, and tertiary navigationmenus and are configured by admin's [237] with sufficient privileges.The platform allows for admins [237] to create nested, hierarchicalmenus, and offers spaces within the site-wide theme [305] that conformto best practices for interface usability. Likewise, menus can also beembedded directly into data-driven and static pages [311, 313] via thepage builder [303]. Aspects of the navigation can be specified on aper-role basis, allowing different experiences for users with differentroles. Theme [305] is the overall theme of the environment and can beset by the admin [237] within the platform's [208] settings [235]. Thelook and feel of the overall environment can be customized to match thebranding of a specific organization that platform is provided to, whichcan be called private labeling. Themes [305] are designed to beresponsive to the user's viewport (responsive design). This means thatthe content displayed by the platform can resize and arrange itselfproperly to fit the screen that is being used to view the environment,be it a traditional PC, tablet, or smartphone. Combining a responsivetheme design with the power of the page builder [303] and form datadesigner [302] allows people with no knowledge of the responsive designto construct layouts and create content that looks clean andprofessional across the multitude of devices that are used to access theInternet. Media manager [306] is a centralized repository for frequentlyused media assets. Media can be pulled into various pages and formsusing field types (on forms) and display widgets (on pages) [306 to 301,306 to 303]. Centralizing certain media assets enables the environment'sadministrators to save on the transfer of large videos, and enablesuser's browsers to cache files, making for an overall more efficientexperience. Products [307], which can include membership products, canbe built through utilizing special field types within the form builder[301]. This enables the customized creation of various forms ofmembership. Product forms can be designed using the same process asother data-driven pages, allowing a uniform, visually engaging design ofproducts, without the administrator [237] having to learn a newinterface. Products can be purchased through the commerce system [310],which supports both one-time and interval-based secure payments. Pages[313, 312], forms [316] and products [310] can be displayed publically,outside the platform [315], as well as inside the platform (where accessis derived based on role) [300].

In FIG. 4 , the form builder displays the end-result of a form [410]created with the form builder. The tree-like nature of the form is notevident to the user [413] filling out the form [410]. While theunderlying structure of the form [410] can support many different endpoints [414] (the final button on a form that performs the actualsubmission of data), the display merely shows the path through the formthat the user is following. The path is determined based on the user'sresponses to decision points [415], which was derived by the admin [400]during the building process in [406]. The form builder [401] is aninterface used to create the forms [410] that make up the vast majorityof the use-case [239] of the platform. Forms are created by addingfields [403, 405, 406, 407, 408], and additional fields illustrated inand discussed with respect to, for example, FIG. 5 , and by specifyingvarious configuration information [404]. The clipboard [409] is simplyused to remove a field from the form, and to place it in a holding areawhile the form is navigated within the form builder. Fields can bedragged and dropped into the appropriate place within the form builder[401] from the clipboard, enabling fields to be organized and movedaround at will. Forms can have many paths through them that a user [400]can choose to take. This is accomplished with decision points [406].Decision points [406] allow the admin creating the form [400] toessentially create forks in the road of the form. The admin [400] adds adecision point [406] field, and specifies which field [407, 408] comesnext based on the answer to the decision point [406] field. In thesimplest example, the admin [400] creates a form [410] with a yes/noquestion. If the user [413] answers yes, the next field that the user[413] sees is different than if the user [413] had chosen no. There isno limit to the number of decision points [406] that can be containedwithin an individual form, allowing for incredibly complex tree-shapedforms. The end result is that the admin [400] creating the form knowscertain information about the user [413] based on the final end pointfield [414] that the user arrives at. This allows the admin [400] toperform different actions [412] based on this information.

FIG. 5 relates back to FIG. 4 , as field types (FIG. 5 ) are theindividual components that, when combined, make up a form [410]. This isin no way a comprehensive list, as new field types can be continuallyadded to the platform. Field types [FIG. 5 ] can range in complexity,from simple standard HTML-based text Fields [500], to complex,proprietary side-by-side video recorder fields [511]. All fields areconfigured and placed within forms using the form builder (FIG. 4 ).Depending on the field type [FIG. 5 ], various settings can beconfigured to control the display and behavior of the field when it ispresented to the user. Examples of field type settings on FIG. 4 ,specifically, field settings [404] range from help text displayed to theuser, to the length of time a video recording should last. Fields canoptionally have permissions [404] associated with their display, as wellas the display of the data collected within a field. This type ofgranular control over forms allows a single form to contain fields thatmay be hidden to users with a certain role, yet visible to other users.Validation [404] rules can be setup for individual fields. The mostbasic validation [404] would be to require a field before the user cansuccessfully submit the form. Other types of validation [404] includethe type of information stored within a field (e.g., numeric,alpha-numeric, etc.), date-range limits, file types, etc. Validationsettings are tied to field types, as certain validations only make sensein certain context (for instance, maximum file size would only makesense when applied to a file upload field type). Actions (illustrated inand discussed with respect to, for example, FIG. 6 or 402 ) can be tiedto fields. Actions (illustrated in and discussed with respect to, forexample, FIG. 6 or 402 ) are processed upon the successful completion ofa form [410], after all validation [404] has passed and the end point ofthe form has been reached [414]. An action [412] is only active in thefield that it is attached to be present in the processed form. Sinceforms can have a tree-like structure, it is entirely possible (andbeneficial) for certain actions [412] to be skipped entirely. Thisallows for drastically different workflows to occur based on the user'sdata for various fields. Decision points [406] are attached tochoice-based field types [502]. The next field to be displayed withinthe form is based on the answer chosen by the user to the decision point[406]. This enables the tree-like structure of forms [410] to be createdwithin the form builder [401], which in turn enables powerful workflowprocesses to be created within the platform. For each potential answerto a decision point [406] enabled field, a different route through theform can be defined. There is no limit to the number of decision points[406] within a form, allowing for complex tree-like structures to becreated by administrators. Other fields include the webcam recorder[512], which is a video capture field enabling the user to use his orher device's camera as a video recording device, e.g., smartphone,tablets, and/or laptop or desktop webcams. The webcam recorder field[512] is utilized to record and send video messages within the platform.The side-by-side video recorder field (simultaneous) [511] orillustrated in and discussed with respect to, for example, FIG. 8 ,which is a video capture field enables the user to record him orherself, while simultaneously following along with a video player. Whatis created is a mirroring effect that provides a simultaneousinteractive recording experience. Use-case(s) [239] where a user followsalong with an activity (e.g., rehabilitation, post-operative follow-upwith a Specialist, chronic disease check-ups with a Primary CarePhysician, etc.) provides the underlying value behind the side-by-sidevideo recorder [511] (illustrated in and discussed with respect to, forexample, FIG. 8 ). The side-by-side video recorder (sequential) of FIG.8 is a video capture field that is the same user interface as the above;however, the side-by-side video recorder can be set to a sequentialrecording experience for testing environments. The sequential settingdirects the user to watch a video from beginning to end without theability to manipulate the play controls, and upon the video finishingits play routine, the recorder's configured countdown will begin (e.g.,3, 2, 1) and the webcam recorder will capture the user's response.Another interface that represents the same concept as the side-by-sidevideo recorder [511] is the picture-in-picture video recorder (P&PVR)(illustrated in and discussed with respect to, for example, FIG. 12 ).The differences between the P&PVR and the side-by-side video recorderinclude the following: the interface [1202] is responsive so it can beused on a mobile device in vertical and horizontal positioning; the userthat is recording [1204] him or herself [1206] can overlay thepre-recorded video [1203] if screen space is limited. Conceptually, theuse is the same, following along with a video [1203] while the userrecords him or herself, more specifically, the countdown [1205]measuring how much video will be recorded by the user and the ability toembed videos from the platform's media manager [1200, 1201].

The captured user [1301] video content from these various videorecorders are displayed within a form [1300] for a directed orpermissible user within a video player [1302], for example an HTML-5video player [FIG. 13 ]. Additionally, on the video player, e.g., HTML-5video player, the viewer of the video can annotate the video withvarious tools [1303], e.g., angles, area, lines, shapes, and marks.

This specific video capture, utilizing device webcams (e.g., laptops,smartphones or tablets) experience is driven by the platform's serverarchitecture's (illustrated in and discussed with respect to, forexample, FIGS. 9, 900 to 901, 903, 904, 906 ) ability to stream videoplayback, while recording video streams in an encryption methodology,such as for example aes256 bit encryption methodology, in order to meetmedical compliance security, e.g., HIPAA Compliance.

FIG. 4 , FIG. 5 and actions [FIG. 6 ] all relate to one another. Actions[FIG. 6 ] provide the form-based triggers that can fire upon submittinga form [410]. Additionally, actions [FIG. 6 ] enable if/then statements,conditional statements and time-based triggers [600, 601, 602, 603, 604]utilizing the action called, add to queue [606]. There are a number ofaction types within the platform, from notifications [607], redirects[605], alerts [608] and as mentioned the add to queue [606]. Actions canbe used to link one form within a workflow to another, redirect the userto a given destination, or send data to an external system via athird-party API. Many actions can be associated with an individual form[410, 412] or field within the form [404], and actions are executed onlyif the given field exists within the user's instance of the form. Thisallows the admin [400] designing the form to fire certain actions [412]when a user answers decision point [415, 414] questions in a certainway. This concept can be utilized for creating workflows, linking formstogether, creating and updating queue items (aka tasks) (illustrated inand discussed with respect to, for example, FIG. 7 ), organizing datainto cases (as illustrated in and discussed with respect to, forexample, FIG. 1 ). Criteria [600] can be defined that determine whetheror not an action fires. This allows the administrator to setup if/thenstatements based on the user's responses to various fields within aform. Combined with the tree-like structure of forms, extremely dynamic,admin-configured combinations of actions can be triggered from a form.Multiple different criteria can be combined to ensure that theconditions are met, or one of the conditions, before the action will beexecuted. Rules [603] can be applied to queue-based actions. These rules[603] are executed when certain conditions are met within a given queueitem. For instance, a queue item, created via an action, can be setup torespond to the change of queue item status, so that a specified user canbe notified. Timers [604] can be configured to perform certainsystem-tasks based on the length of time that a queue item sits with acertain status or priority. This is configured as a part of the add toqueue [606] action type. The use of timers [604] allows the system totrigger rules to execute based on time, so that a user can be notifiedwhen a specified Task is overdue, for instance. Queue button settings[602] enables users to launch forms from a queue item, and providesdetails as to what should happen when this button clicked like statuschanges, initiating timers [604] and rules [603].

In FIG. 7 , queue items [703, 714] represent tasks for a given user[700] to perform. Via actions [FIG. 6 ] attached to forms [410], queue's[702] are populated with queue items [703] given the configured platformexperience. In turn, queue items [703] have configurable call-to-actionbuttons [707] associated with them. These buttons (aka queue actions)[707] can be configured to launch additional forms [709], send a user[100] to a page [311], send data [110] to an external system via an API,or do something as simple as marking a queue item [703] as “complete.”Within the server architecture [FIG. 9 ], the platform processes thesequeue items [703] based on their configured scheduled actions [FIG. 6 ],e.g., now, +3 hours, −5 days from date, etc. Every user [700] within theplatform has his/her individual queue [702]. This acts as a repositoryfor tasks or queue items [703] assigned specifically to that user to beorganized, viewed, and ultimately completed. Every group of users [712]within the platform has a group queue [712 to 714]. This allows fortasks to be assigned to not a single person, but a group of people. Onedistinction between an individual queue [713] and a group queue [714] isin the fact that any member of the group can complete a task within agroup queue [714], whereas that individual user can only complete a taskwithin an individual queue [713]. Group queues [714] often make use ofthe checkout button [706], which allows an individual user to checkout atask and claim it as their own. This prevents the scenario where morethan one user within a group would perform a task, as once a task ischecked out, other members of the group can no longer complete thespecified task. Tasks, or queue items [703, 714], are individual itemsassigned to a queue. Queue items [703,714] are created via actions,which are triggered and executed during the processing of a completedform. Queue items [703, 714] show up in the task list until they arecompleted. The status of a queue item [703, 714] determines whether ornot a task is completed or awaiting completion. Administrators configurequeue item statuses, so that a truly customized workflow system,utilizing rules, timers, and queue actions (illustrated in and discussedwith respect to, for example, FIG. 6 ) can be configured. Statusesdetermine whether or not a task is to be considered “completed” by thesystem. More than one “completed” status can be defined. Once a task hasbeen updated to a “completed” status, it no longer shows up in the tasklist, unless filters are used to show “completed” tasks. Queue items[703, 714] can have priority levels [703], which can be orderedaccording to importance. Priorities are configured by administrators,and can be assigned weights, with lower weights assigned to the top ofthe task list, and heavier weights assigned to the bottom of the tasklist. The system-default high priority is used to promote queue items[703, 714] marked as high priority to the top of the task list [703].Combined with timers, queue item priority levels [715] can be set tochange after a pre-determined amount of time, thereby ensuring thattasks deemed time-sensitive by the administrator can be given properattention and focus within the queue interface. One or more queueactions (buttons) can be configured to show up on a queue item (task)[703, 714]. The buttons can be configured to take the user to variousdestinations, such as a page, an external link, or a form [709]. Queuebuttons can also be configured to update the status or priority of aqueue item [703, 714]. Once clicked, the status of the queue item can bechanged to a completed status. In this way, buttons are used to updatequeue items, and ultimately perform tasks within the use-case [239]. Theonly exception to this behavior is a button that is used to launch aform. The queue item status or priority is not updated until after theform that has been launched has been successfully completed. All othertypes of queue buttons update the associated queue item [703, 714] whenthey are initially clicked. This allows for a user to click a button tolaunch a form from within a task, start (but not finish) the form, andcome back later to find that the task is still awaiting completionwithin the queue's task List.

In FIG. 14 , these forms and workflows [1400] can be selected, copied,and replicated from one platform [1401] onto another platform [1404] orplaced in the platform's pathway application community [1403]. Thepathway application community [1403] enables for these pathways to befor browsing, promotion and sale to another platform user. Theplatform's e-commerce system [106] enables platform owners to create aproduct type that has attributes like name, date, price for a specificpathway and make it available within the community for purchase.Additionally, the cost of the arbitrary pathway can be split between thehost and its owner [1403].

FIG. 15 illustrates an example method [1500] for performing asynchronouscommunication in accordance with an example implementation of thepresent disclosure. As shown in FIG. 15 , data is received pertaining toa medical condition of a patient (Block [1502]). For example, the datamay comprise a workflow associated with a patient. For instance, asdescribed with respect to FIG. 2 , the workflow may provide acustomizable care and/or recovery program for a patient based upon thepatient's medical condition. The data may also comprise data receivedthrough one or more forms [109]. For example, the data may comprisevideo data, and the video data, in some implementations, may be videodata of a model (e.g., medical personnel, etc.) providing communicationand/or performing an activity related to a medical condition of thepatient.

The method [1500] also includes storing the data as a data structure ina memory (Block [1504]). In an implementation of the present disclosure,the data pertaining to the medical condition is stored in a memory ofthe server architecture as described below and shown in FIG. 9 . Themethod [1500] also includes asynchronously transmitting the data to aclient device upon receiving a request to access the data from theclient device (Block [1506]). For example, the server architectureasynchronously transmits the data to a client device upon receiving arequest to access the data. In an implementation, the client devicecomprises a patient client device associated with a patient. In anotherimplementation, the client device comprises a healthcare provider clientdevice.

The method may also include causing the presentation of a side-by-sidevideo display, which is discussed above and shown in FIG. 8 , at apatient client device (Block [1508]). As discussed above, theside-by-side video display includes a first video display area fordisplaying a video showing a model (e.g., medical personnel, etc.)presenting an activity to the patient. For example, the activity may bea rehabilitation activity, a post-operative follow-up activity, or thelike. The side-by-side video display also includes a second videodisplay area for displaying the video recorded of the patient performingthe activity. This recorded data can be stored as a data structure inthe memory and asynchronously accessed by medical personnel to evaluatethe patient's condition based upon the activity performed by thepatient.

FIG. 9 depicts the underlying server (hardware) architecture thatenables FIG. 1 -FIG. 8 , and any future additions to the platform. Arequest comes into the server architecture, through initial security[901] protocols (utilizing encryption, such as for example aesencryption, during transmission and non-transmission) and then to eithera video server or device [903] or web server or device [902]. Videoserver(s) or device(s) [903] store the videos on temp storage server(s)or device(s) [904] until further processing, an example would be therecording process prior to the submission of an endpoint. Web server(s)or device(s) [902] receive all other requests and perform initialrequest routing as follows: A GET request for a previously uploaded file(stored on [906]) is processed by the web server(s) or device(s) [902]and then passed along to the filestore [906], which processes therequest and returns the appropriate response to [902]. The web server(s)or device(s) [902] processes a GET request for a static resource and theresource is returned. The web server(s) or device(s) [902] passes alonga GET request for a dynamic resource to the application server(s) ordevice(s) [905]. The application server(s) or device(s) [905] thenprocess the GET request and return the dynamically generated resource. APOST request is processed dynamically, dependent on URL and contents. Ifa file is uploaded [908] as part of a POST request, the file type, filemetadata and other data sent along in the POST request are used todynamically process the file. The web server(s) or device(s) [902] passalong the request to the upload server(s) or device(s) [908]. The uploadserver(s) or device(s) [908] split the request up into parts. The firstpart that contains the file contents and file metadata are storedtemporarily to temp storage server(s) or device(s) and then moved ontothe storage server(s) or device(s). At the same time, the rest of thedata in the POST request and the file metadata information is forwardedon to upload process server(s) or device(s) [909], which process thePOST data to determine any action to be taken with the uploaded file. Ifthere is any further processing to be done on the file, based on thefile metadata and POSTed field data, the upload process server(s) ordevice(s) [908] will process the data, store relevant data in thedatastore and set up a job or jobs [901] to be run against the file inthe job server(s) or device(s) [910] to be completed separately from therequest. At this point, the generated response is then sent back alongthe inverse path to the browser [907]. If a file is not uploaded as partof a POST request, the web server(s) or device(s) [902] pass along therequest to the application server(s) or device(s) [905], which thenprocess the POSTed data, storing it in the datastore [906] andgenerating the response which is returned to the browser along theinverse path. If the POSTed data includes references to a video recordedby the video server(s) or device(s) [903], the application server(s) ordevice(s) [905] can issue a request for the recorded file to be movedfrom temporary storage server(s) or device(s) [904] to the filestoreserver(s) or device(s) [906]. If any job(s) were generated as part of arequest, the details of the job are held in the job server(s) ordevice(s) [910] until an available worker requests it's next job fromthe job server(s) or device(s) [910]. At this point, the worker [907]retrieves the details of the job from the job server(s) or device(s)[910] and begins processing. The worker server(s) or device(s) [907]will interact with the datastore [906] and filestore [906] as needed toget the information that it needs to do the job. After completion of thejob, it will store the resulting data in the filestore [906] anddatastore [906] as appropriate. The worker [907] will then go andrequest it's next job from the job server(s) or device(s) [910].

There are a variety of potential applications for the asynchronous videocollaboration workflow engine described herein, such as for example thehealthcare market, educational space, athletics, training and any otherarea that can benefit from asynchronous video collaboration and/orworkflow. For illustration, we discuss an example application in thehealthcare market and outline just a few use-cases that a health systemwould use the workflow management and asynchronous video collaborationplatform for in their day-to-day use. Once the admin has created anexperience, what unfolds and deploys within the organization can be anynumber of asynchronous collaborative experiences (use-cases) between oneor more users. For example, in healthcare: patient-to-specialistpost-operative follow-up and rehab: the disclosure's asynchronous,video-based remote follow-up visit process will provide the end-to-endexperience for the patient. The platform's asynchronous collaborationprocess in this setting will enable surgeons to see the post-operativepatient remotely. The patient, family member, or care giver (e.g.,visiting nurse, physical therapist) can record a video (using anydevice, from anywhere, and at anytime) of the post-operative exam,utilizing the disclosure's interfaces for easy-to-follow along videoroutines (illustrated in and discussed with respect to, for example,FIG. 8 ). After the recording is submitted, the surgeon can review thevideo at anytime and provide video feedback (illustrated in anddiscussed with respect to, for example, FIG. 7 ), send orders, andcoordinates further follow up. Also if there is an issuepostoperatively, instead of the patient having to come to the office,the visit can be done remotely. This saves time and frustration for thepatient and surgeon, while improving accessibility. It will also reduceunnecessary readmissions to the hospital. With follow-up visits in thepost-operative setting typically being non-reimbursable due to theAffordable Care Acts bundled payment process, approximately 40% ofspecialist's work days will be spent doing uneventful visits, while thepatient, in the end, would have rather completed these visits from home.

For the purpose of providing more precise workflow aspects related topost-operative follow-up utilizing the platform, the following providesan example step-by-step workflow.

The surgical coordinator logs into his or her account associated withthe platform, goes to the dashboard and clicks on post-operativefollow-up programs. The surgical coordinator arrives on a form where heor she selects a patient (potentially from an electronic medical recordif integrated via an API), enters the patient's surgery date (which willtrigger the follow-up tasks to provide based on the health system'sstandardized protocols for post-operative follow-up), and clicks submit.

Now that the surgical coordinator has initiated a post-operativefollow-up program for a patient via the platform, the patient and/orpartner-in-health (a person that helps the patient) receives a tasknotification via email, SMS text message or automated recorded phonecall at the appropriate time in the future (e.g., approximately,two-weeks from the surgery date). The notification triggers the patientto login to his or her account and view his or her task. Once thepatient logs into his or her account and goes to his or her dashboard,he or she will see an active task to complete. The patient clicks on thetask, it opens and he or she sees a recorded video from his or hersurgeon, explaining the post-operative follow-up task. The patientclicks continue and he or she sees a decision question, “Are youexperiencing any pain?” The patient either chooses “yes” or “no.” If thepatient chooses “yes,” then the resultant submission of a completed taskwill be assigned to his or her surgeon. If the patient chooses “no,”then the resultant submission of the completed task will be assigned tothe surgeon's group of physician assistants (discussed further below).If the patient chooses “no,” the next screen the patient sees is thenext step, which is the side-by-side video recording process. Thepatient clicks “record,” and the left-side video begins to play and theright-side video begins to record. The left-side video providesinstructions on the movements that he or she is supposed to complete.The patient mirrors the movements and the recording automaticallycompletes itself because there is a time countdown on the right-sidevideo. Now that the patient has completed his or her recording, he orshe clicks “submit to my surgeon and his or her team.”

Since the patient chose “no” to having any pain, the task is routed tothe surgeon's physician assistants' group task list. The physicianassistants all receive an optional notification to login and review thepatient's recorded follow-up submission. All of the physician assistantslogin, but only one of the physician assistants check-out the task inorder to review it and provide feedback and next step instructions. Thephysician assistant clicks on “provide feedback to patient” and arrivesat a predetermined and standardized response form. The response formincludes the ability for the physician assistant to append apre-recorded video from the surgeon, record a video in real-time usingthe camera on his or her computer, tablet or smartphone, and/or add apre-recorded response from him or her and append educational content tothe response. The physician assistant uses a pre-recorded video from thesurgeon that explains everything looks great and continue with rehab asprescribed. The physician assistant clicks send to patient.

The patient and his or her partner-in-health receive a notification thatthe specialist (surgeon) has responded to his or her submitted two-weekfollow-up recorded video. The patient logs in and sees the responsetask, views the physician's feedback and clicks marked viewed.

The results of this process are that the patient did not have to go tothe office for an uneventful follow-up visit. The surgeon is able toopen an in-person office visit that yields a reimbursable event versusseeing the uneventful follow-up visit which also a non-reimbursableevent.

The process outlined above was configured by a platform admin using theworkflow engine, which enables the admin to add the asynchronous videocomponents into the process. This is one example of many that can beconfigured on the platform.

Another example is surgical coordination within the hospital setting:The coordination of the total joint replacement patient during the pre,peri, and post-operative periods is a challenging complex process. Forexample, it may involve at least twenty-five participants who needinformation concurrently in a timely basis. If there is a breakdown incommunication between these participants, then patient care iscompromised, patient satisfaction is poor, and/or cancellations orpostponements of the surgery occur. For example: on average within thehospital setting, there is a 25% cancellation rate of total jointreplacements due to failure of coordination of this patient population.In addition, hundreds of employee man-hours are wasted on inefficientprocesses to coordinate the care of these patients. Furthermore, thereis no mechanism in place to track accountability of the manyparticipants involved in this process. The disclosure's asynchronoustelehealth platform can enable the coordination of pre-, peri-, andpost-operative care of total joint patients. The platform automates carecoordination processes. In this case, it can connect all 25 participantsin the care of the total joint patient so everyone has the informationthat is needed, when it is needed. The platform also alerts participantsif information is not present and holds each participant accountable totheir specific tasks in the care of the patient.

Still another embodiment involves a computer-readable medium comprisingprocessor-executable instructions configured to implement one or more ofthe techniques, platform and/or workflow presented herein. An exemplarycomputer-readable medium that may be devised in these ways isillustrated in FIG. 10 , wherein the implementation [1000] comprises acomputer-readable medium [1016] (e.g., a CD-R, DVD-R, or a platter of ahard disk drive), on which is encoded computer-readable data [1014].This computer-readable data [1014] in turn comprises a set of computerinstructions [1012] configured to operate according to one or more ofthe principles set forth herein. In one such embodiment [1000], theprocessor-executable computer instructions [1012] may be configured toperform a method [1010], such as at least some of the exemplarysystem/method 100 of FIG. 1 , for example. In another such embodiment,the processor-executable instructions [1012] may be configured toimplement a system, such as at least some of the exemplary system/method200 of FIG. 2 , for example. Many such computer-readable media may bedevised by those of ordinary skill in the art that are configured tooperate in accordance with the techniques presented herein.

Although the subject matter has been described in language specific tostructural features and/or methodological acts, it is to be understoodthat the subject matter defined in the appended claims is notnecessarily limited to the specific features or acts described above.Rather, the specific features and acts described above are disclosed asexample forms of implementing the claims.

As used in this application, the terms “component,” “module,” “system”,“interface”, and the like are generally intended to refer to acomputer-related entity, either hardware, a combination of hardware andsoftware, software, or software in execution. For example, a componentmay be, but is not limited to being, a process running on a processor, aprocessor, an object, an executable, a thread of execution, a program,and/or a computer. By way of illustration, both an application runningon a controller and the controller can be a component. One or morecomponents may reside within a process and/or thread of execution and acomponent may be localized on one computer and/or distributed betweentwo or more computers.

Furthermore, the claimed subject matter may be implemented as a method,apparatus, or article of manufacture using standard programming and/orengineering techniques to produce software, firmware, hardware, or anycombination thereof to control a computer to implement the disclosedsubject matter. The term “article of manufacture” as used herein isintended to encompass a computer program accessible from anycomputer-readable device, carrier, or media. Of course, those skilled inthe art will recognize many modifications may be made to thisconfiguration without departing from the scope or spirit of the claimedsubject matter.

FIG. 11 and the following discussion provide a brief, generaldescription of a suitable computing environment to implement embodimentsof one or more of the provisions set forth herein. The operatingenvironment of FIG. 11 is only one example of a suitable operatingenvironment and is not intended to suggest any limitation as to thescope of use or functionality of the operating environment. Examplecomputing devices include, but are not limited to, personal computers,server computers, hand-held or laptop devices, mobile devices (such asmobile phones, Personal Digital Assistants (PDAs), media players, andthe like), multiprocessor systems, consumer electronics, mini computers,mainframe computers, distributed computing environments that include anyof the above systems or devices, and the like.

Although not required, embodiments are described in the general contextof “computer readable instructions” being executed by one or morecomputing devices. Computer readable instructions may be distributed viacomputer readable media (discussed below). Computer readableinstructions may be implemented as program modules, such as functions,objects, Application Programming Interfaces (APIs), data structures, andthe like, that perform particular tasks or implement particular abstractdata types. Typically, the functionality of the computer readableinstructions may be combined or distributed as desired in variousenvironments.

FIG. 11 illustrates an example of a system [1110] comprising a computingdevice [1112] configured to implement one or more embodiments providedherein. In one configuration, computing device [1112] includes at leastone processing unit [1116] and memory [1118]. Depending on the exactconfiguration and type of computing device, memory [1118] may bevolatile (such as RAM, for example), non-volatile (such as ROM, flashmemory, etc., for example) or some combination of the two. Thisconfiguration is illustrated in FIG. 11 by dashed line [1114].

In other embodiments, device [1112] may include additional featuresand/or functionality. For example, device [1112] may also includeadditional storage (e.g., removable and/or non-removable) including, butnot limited to, magnetic storage, optical storage, and the like. Suchadditional storage is illustrated in FIG. 11 by storage [1120]. In oneembodiment, computer readable instructions to implement one or moreembodiments provided herein may be in storage [1120]. Storage [1120] mayalso store other computer readable instructions to implement anoperating system, an application program, and the like. Computerreadable instructions may be loaded in memory [1118] for execution byprocessing unit [1116], for example.

The term “computer readable media” as used herein includes computerstorage media. Computer storage media includes volatile and nonvolatile,removable and non-removable media implemented in any method ortechnology for storage of information such as computer readableinstructions or other data. Memory [1118] and storage [1120] areexamples of computer storage media. Computer storage media includes, butis not limited to, RAM, ROM, EEPROM, flash memory or other memorytechnology, CD-ROM, Digital Versatile Disks (DVDs) or other opticalstorage, magnetic cassettes, magnetic tape, magnetic disk storage orother magnetic storage devices, or any other medium which can be used tostore the desired information and which can be accessed by device[1112]. Any such computer storage media may be part of device [1112].

Device [1112] may also include communication connection(s) [1126] thatallows device [1112] to communicate with other devices. Communicationconnection(s) [1126] may include, but is not limited to, a modem, aNetwork Interface Card (NIC), an integrated network interface, a radiofrequency transmitter/receiver, an infrared port, a USB connection, orother interfaces for connecting computing device [1112] to othercomputing devices. Communication connection(s) [1126] may include awired connection or a wireless connection. Communication connection(s)[1126] may transmit and/or receive communication media.

The term “computer readable media” may include communication media.Communication media typically embodies computer readable instructions orother data in a “modulated data signal” such as a carrier wave or othertransport mechanism and includes any information delivery media. Theterm “modulated data signal” may include a signal that has one or moreof its characteristics set or changed in such a manner as to encodeinformation in the signal.

Device [1112] may include input device(s) [1124] such as keyboard,mouse, pen, voice input device, touch input device, infrared cameras,video input devices, and/or any other input device. Output device(s)[1122] such as one or more displays, speakers, printers, and/or anyother output device may also be included in device [1112]. Inputdevice(s) [1124] and output device(s) [1122] may be connected to device[1112] via a wired connection, wireless connection, or any combinationthereof. In one embodiment, an input device or an output device fromanother computing device may be used as input device(s) [1124] or outputdevice(s) [1122] for computing device [1112].

Components of computing device [1112] may be connected by variousinterconnects, such as a bus. Such interconnects may include aPeripheral Component Interconnect (PCI), such as PCI Express, aUniversal Serial Bus (USB), firewire (IEEE 1394), an optical busstructure, and the like. In another embodiment, components of computingdevice [1112] may be interconnected by a network. For example, memory[1118] may be comprised of multiple physical memory units located indifferent physical locations interconnected by a network.

Those skilled in the art will realize that storage devices utilized tostore computer readable instructions may be distributed across anetwork. For example, a computing device [1130] accessible via a network[1128] may store computer readable instructions to implement one or moreembodiments provided herein. Computing device [1112] may accesscomputing device [1130] and download a part or all of the computerreadable instructions for execution. Alternatively, computing device[1112] may download pieces of the computer readable instructions, asneeded, or some instructions may be executed at computing device [1112]and some at computing device [1130]. In some implementations of thepresent disclosure, the computing device [1112] comprises a servercomputing device for providing asynchronous communication functionalityas described above, and the computing device [1130] comprises a clientdevice. For example, the computing device [1130] may comprise a clientdevice associated with a patient or a client device associated with ahealthcare service provider. While only one computing device [1112] andcomputing device [1130] is shown in FIG. 11 , it is understood that thesystem [1110] may include multiple computing devices [1112] andcomputing devices [1130] without departing from the spirit of thepresent disclosure.

Various operations of embodiments are provided herein. In oneembodiment, one or more of the operations described may constitutecomputer readable instructions stored on one or more computer readablemedia, which if executed by a computing device, will cause the computingdevice to perform the operations described. The order in which some orall of the operations are described should not be construed as to implythat these operations are necessarily order dependent. Alternativeordering will be appreciated by one skilled in the art having thebenefit of this description. Further, it will be understood that not alloperations are necessarily present in each embodiment provided herein.

Moreover, the word “exemplary” is used herein to mean serving as anexample, instance, or illustration. Any aspect or design describedherein as “exemplary” is not necessarily to be construed as advantageousover other aspects or designs. Rather, use of the word exemplary isintended to present concepts in a concrete fashion. As used in thisapplication, the term “or” is intended to mean an inclusive “or” ratherthan an exclusive “or”. That is, unless specified otherwise, or clearfrom context, “X employs A or B” is intended to mean any of the naturalinclusive permutations. That is, if X employs A; X employs B; or Xemploys both A and B, then “X employs A or B” is satisfied under any ofthe foregoing instances. In addition, the articles “a” and “an” as usedin this application and the appended claims may generally be construedto mean “one or more” unless specified otherwise or clear from contextto be directed to a singular form. Also, at least one of A and B and/orthe like generally means A or B or both A and B.

Also, although the disclosure has been shown and described with respectto one or more implementations, equivalent alterations and modificationswill occur to others skilled in the art based upon a reading andunderstanding of this specification and the annexed drawings. Thedisclosure includes all such modifications and alterations and islimited only by the scope of the following claims. In particular regardto the various functions performed by the above described components(e.g., elements, resources, etc.), the terms used to describe suchcomponents are intended to correspond, unless otherwise indicated, toany component which performs the specified function of the describedcomponent (e.g., that is functionally equivalent), even though notstructurally equivalent to the disclosed structure which performs thefunction in the herein illustrated exemplary implementations of thedisclosure. In addition, while a particular feature of the disclosuremay have been disclosed with respect to only one of severalimplementations, such feature may be combined with one or more otherfeatures of the other implementations as may be desired and advantageousfor any given or particular application. Furthermore, to the extent thatthe terms “includes”, “having”, “has”, “with”, or variants thereof areused in either the detailed description or the claims, such terms areintended to be inclusive in a manner similar to the term “comprising.”

Having described at least one of the example embodiments of the presentdisclosure with reference to the accompanying drawings, it is to beunderstood that the disclosure is not limited to those preciseembodiments, and that various changes, modifications, and adaptationsmay be effected therein by one skilled in the art without departing fromthe scope or spirit of the disclosure as defined in the appended claims.

1.-20. (canceled)
 21. A system for performing communication within ahealthcare system, comprising: one or more servers in communication witha patient client device, the one or more servers configured to: presenta side-by-side or picture-in-picture video display, at the patientclient device, based on video data pertaining to a medical condition ofa patient, the side-by-side or picture-in-picture video displayincluding a first video display area and a second video display area,the first video display area including a video of a model presenting anactivity to the patient, the second video display area configured topresent a real-time or near real-time video stream of the patient to thepatient while recording a video of the patient performing the activity;in response to receiving a selection at the patient client device torecord the video of the patient performing the activity, simultaneouslypresent, via the side-by-side or picture-in-picture video display, thevideo of the model presenting the activity to the patient and thereal-time or near real-time video stream of the patient performing theactivity; receive the recorded video data including the recorded videoof the patient performing the activity from the patient client device;store the recorded video data; and transmit the recorded video data to ahealthcare provider client device in response to receiving a requestfrom the healthcare provider client device to access the recorded videodata.
 22. The system of claim 21, wherein the one or more servers areconfigured to cause the patient client device to present the videoincluding the model presenting the activity to the patient beforepermitting video recording of the patient performing the activity. 23.The system of claim 21, wherein the one or more servers include astorage server and a temporary storage server configured to store anunprocessed or partially processed version of the video data pertainingto the medical condition of the patient before the video data istransmitted to the storage server.
 24. The system of claim 21, whereinthe one or more servers include an application server configured toreceive a request from the patient client device when the request is fora dynamic resource.
 25. The system of claim 21, wherein the one or moreservers include an upload server is configured to receive a request fromthe patient client device when the request includes a file to beuploaded.
 26. The system of claim 25, wherein the one or more serversfurther include an upload process server in communication with theupload server, the upload process server configured to receive metadataassociated with the file and to determine one or more actions to betaken based on the metadata.
 27. The system of claim 26, wherein the oneor more servers further include a job server in communication with theupload process server, and the job server is configured to receivedetails for one or more jobs based on the one or more actions determinedby the upload process server.
 28. The system of claim 27, wherein theone or more servers further include a worker server in communicationwith the job server, and the worker server is configured to request theone or more jobs from the job server, receive details for the one ormore jobs in response to the request, and execute the one or more jobs.29. A method of performing communication within a healthcare system,comprising: presenting a side-by-side or picture-in-picture videodisplay at a patient client device based on video data pertaining to amedical condition of a patient, the side-by-side or picture-in-picturevideo display including a first video display area and a second videodisplay area, the first video display area including a video of a modelpresenting an activity to the patient, the second video display areaconfigured to present a real-time or near real-time video stream of thepatient to the patient while recording a video of the patient performingthe activity; receiving a selection at the patient client device torecord the video of the patient performing the activity; andsimultaneously presenting, via the side-by-side or picture-in-picturevideo display, the video of the model presenting the activity to thepatient and the real-time or near real-time video stream of the patientperforming the activity in response to receiving the selection at thepatient client device to record the video of the patient performing theactivity.
 30. The method of claim 29, further comprising: presenting, atthe patient client device, the video including the model presenting theactivity to the patient before permitting video recording of the patientperforming the activity.
 31. The method of claim 29, further comprising:receiving, at one or more servers, the recorded video data including therecorded video of the patient performing the activity from the patientclient device; storing the recorded video data; receiving, at the one ormore servers, a request from a healthcare provider client device toaccess the recorded video data; and transmitting the recorded video datato the healthcare provider client device in response to receiving therequest from the healthcare provider client device to access therecorded video data.
 32. The method of claim 29, further comprising:storing an unprocessed or partially processed version of the video datapertaining to the medical condition of the patient at a temporarystorage server before the video data is transmitted to a storage server.33. The method of claim 29, further comprising: receiving a request fromthe patient client device at an application server when the request isfor a dynamic resource.
 34. The method of claim 29, further comprising:receiving a request from the patient client device at an upload serverwhen the request includes a file to be uploaded.
 35. The method of claim34, further comprising: receiving metadata associated with the file atan upload process server in communication with the upload server; anddetermining one or more actions to be taken based on the metadata. 36.The method of claim 35, further comprising: receiving details for one ormore jobs at a job server in communication with the upload processserver, based on the one or more actions.
 37. The method of claim 36,further comprising: requesting the one or more jobs at a worker serverin communication with the job server; receiving details for the one ormore jobs at the worker server in response to the request; and executingthe one or more jobs at the worker server.
 38. A non-transitory signalbearing medium with program instructions executable by a processor to:present a side-by-side or picture-in-picture video display based onvideo data pertaining to a medical condition of a patient, theside-by-side or picture-in-picture video display including a first videodisplay area and a second video display area, the first video displayarea including a video of a model presenting an activity to the patient,the second video display area configured to present a real-time or nearreal-time video stream of the patient to the patient while recording avideo of the patient performing the activity; and in response toreceiving a user selection to record the video of the patient performingthe activity, simultaneously present, via the side-by-side orpicture-in-picture video display, the video of the model presenting theactivity to the patient and the real-time or near real-time video streamof the patient performing the activity.
 39. The non-transitory signalbearing medium of claim 38, wherein the program instructions cause theprocessor to present the video including the model presenting theactivity to the patient before permitting video recording of the patientperforming the activity.
 40. The non-transitory signal bearing medium ofclaim 38, wherein the program instructions further cause the processorto transmit the recorded video data including the recorded video of thepatient performing the activity to one or more servers that areconfigured to store the recorded video data and are further configuredto retrieve and transmit the recorded video data to a healthcareprovider client device in response to receiving a request from thehealthcare provider client device to access the recorded video data.